LARA MADDOX

FAIRBANKS, AK
NPI1801220637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-28
Last Update Date2013-08-28
Business Address
-- LARA MADDOX
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901
Mailing Address
-- LARA MADDOX
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901